OMB control number
SAMHSA SOAR Web-Based Data Form
OMB 0930-0329 ยท HHS/SAMHSA.
OMB 0930-0329
SOAR Web-Based Data Form will collect information from case managers to be used to maintain records on Social Security disability benefits applications, as part of the Supplemental Security Income (SSI)/Social Security Disability Insurance (SSDI) Outreach Access and Recovery (SOAR) effort.
The latest form for SAMHSA SOAR Web-Based Data Form expires 2023-04-30 and is listed under ICR 201912-0930-004.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form Part II SOAR Data Form - Part II | Form and Instruction |
 Form Part I SOAR Data Form - Part I | Form and Instruction |
 SOAR Data Form SS-A 06-01-2022 .docx | Supporting Statement A |
| SOAR Data Form SS-B 06-01-2022.docx | Supporting Statement B |
 SOAR Data Form - Part II |
Form and Instruction |
| SOAR Data Form - Part I |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202301-0930-001 | Revision of a currently approved collection | 2023-01-24 | Approved with change | |
| 201912-0930-004 | Extension without change of a currently approved collection | 2020-03-04 | Approved without change | |
| 201703-0930-002 | Revision of a currently approved collection | 2017-03-09 | Approved without change | |
| 201607-0930-003 | Revision of a currently approved collection | 2016-07-28 | Approved without change | |
| 201409-0930-001 | Revision of a currently approved collection | 2014-09-12 | Approved without change | |
| 201407-0930-002 | Revision of a currently approved collection | 2014-07-29 | Improperly submitted and continue | |
| 201108-0930-003 | New collection (Request for a new OMB Control Number) | 2011-08-22 | Approved with change |
OMB Details
SOAR Data Form - Part I
Federal Enterprise Architecture: Health - Public Health Monitoring
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form Part I | Part I | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.